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    <title>Title</title>
    <p style="margin-right:32px;text-indent:2px"><strong><span style="font-family: 黑体;font-size: 20px"><span
            style="font-family:黑体">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;单元工程施工质量报验单</span></span></strong>
    </p>
    <p style="text-align:center;line-height:150%"><span style="font-family: 楷体;line-height: 150%;font-size: 12px"><span
            style="font-family:楷体">（</span></span><span
            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
            style="font-family:楷体">{公司简称}</span></span><span
            style="font-family: 楷体;line-height: 150%;font-size: 12px"><span
            style="font-family:楷体">江苏盐城</span></span><span
            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
            style="font-family:楷体">{年份}</span></span><span
            style="font-family: 楷体;line-height: 150%;font-size: 12px"><span
            style="font-family:楷体">[</span></span><strong><span
            style="font-family: 楷体;line-height: 150%;font-size: 12px"><span
            style="font-family:楷体">2018</span></span></strong><span
            style="font-family: 楷体;line-height: 150%;font-size: 12px"><span
            style="font-family:楷体">]质报</span></span><span
            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
            style="font-family:楷体">{子单元编号}</span></span><span style="font-family: 楷体;line-height: 150%;font-size: 12px"><span
            style="font-family:楷体">1-4-10-2号）</span></span></p>
    <p style="text-indent:12px"><span style="font-family: 宋体;font-size: 12px"><span style="font-family:宋体">合同名称：</span></span><span
            style=";font-family:楷体;color:#FF0000;font-size:12px"><span style="font-family:楷体">{合同名称}</span></span><span
            style="font-family: 楷体;font-size: 12px"><span style="font-family:楷体">金坑水库除险加固工程</span> &nbsp;</span><span
            style="font-family: 宋体;font-size: 12px">&nbsp;&nbsp;</span><span style="font-family: 宋体;font-size: 12px">&nbsp;&nbsp;<span
            style="font-family:宋体">合同编号：</span></span><span style=";font-family:楷体;color:#FF0000;font-size:12px"><span
            style="font-family:楷体">{合同编号}</span></span><span style="font-family: 楷体;font-size: 12px"><span
            style="font-family:楷体">穗开建管施</span><span style="font-family:楷体">[2018]53号/20171516200300001/</span></span>
    </p>
    <table border="1px solid #000000" cellspacing="0" width="634">
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                <td tdi="tr0-td1" width="634" valign="top" colspan="3"
                    style="padding: 0px 7px; border-width: 1px; border-color: windowtext;"><p style=";line-height:150%">
                    <span style="font-family: 宋体;line-height: 150%;font-size: 12px">致：</span><span
                        style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span style="font-family:楷体">{监理单位名称}</span></span><span
                        style="font-family: 楷体;line-height: 150%;font-size: 12px">广东华迪工程管理有限公司</span></p>
                    <p style="margin-left:8px;text-indent:18px;line-height:150%"><span
                            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
                            style="font-family:楷体">{子单元工程部位}</span></span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">放水塔C25钢筋砼塔身</span><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px"><span style="font-family:宋体">▽</span></span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px"><span
                            style="font-family:楷体">44.31-</span></span><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px"><span style="font-family:宋体">▽</span></span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px"><span style="font-family:楷体">46.71m单元工程</span></span><span
                            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
                            style="font-family:楷体">{序号}</span></span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px"><span style="font-family:楷体">(1-4-10-2）</span></span><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px"><span style="font-family:宋体">□ 工序/☑ 单元工程已按合同要求完成施工经自检合格，报请贵方核验。</span></span>
                    </p>
                    <p style="text-indent:24px;line-height:23px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">附件： </span><span
                            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
                            style="font-family:楷体">{附件}</span></span><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:108px;line-height:23px"><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">1</span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">、工序验收记录表。</span></p>
                    <p style="text-indent:108px;line-height:23px"><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">2</span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">、单元工程质量评定表。</span></p>
                    <p style="text-indent:360px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:360px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:360px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:360px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:360px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:360px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:360px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:324px;line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">承 包 人：</span><span
                            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
                            style="font-family:楷体">{施工单位名称}</span></span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">江苏盐城水利建设有限公司</span></p>
                    <p style="text-indent:384px;line-height:150%"><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">金坑水库除险加固工程项目部</span><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;&nbsp;&nbsp;&nbsp;</span></p>
                    <p style="line-height:150%"><span style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;项目经理：</span>
                    </p>
                    <p style="line-height:150%"><span style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;日 &nbsp;&nbsp;&nbsp;期： &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;年 &nbsp;&nbsp;&nbsp;月 &nbsp;&nbsp;日</span>
                    </p></td>
            </tr>
            <tr style="height:511px">
                <td tdi="tr1-td1" width="60" valign="center"
                    style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;">
                    <p style="margin-top:21px;text-align:center">
                        <span style="font-family: 宋体;line-height: 150%;font-size: 12px" data-source="table" data-field="org">监理机构意见</span></p></td>
                <td tdi="tr1-td1" width="574"  colspan="2" valign="top"
                    style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;">
                    <p><span style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p><span style="font-family: 宋体;line-height: 150%;font-size: 12px">复核结果：</span></p>
                    <p style="text-indent:108px;line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px"><span style="font-family:宋体">□同意进入下一工序 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;□不同意进入下一工序</span></span>
                    </p>
                    <p style="line-height:150%"><span style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<span
                            style="font-family:宋体" data-source="table" data-field="name">□同意进入下一单元工程 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;□不同意进入下一单元工程</span></span>
                    </p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:264px"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">监理机构：</span><span
                            style=";font-family:楷体;line-height:150%;color:#FF0000;font-size:12px"><span
                            style="font-family:楷体">{监理单位名称}</span></span><span
                            style="font-family: 楷体;line-height: 150%;font-size: 12px">广东华迪工程管理有限公司</span></p>
                    <p style="text-indent:372px"><span style="font-family: 楷体;line-height: 150%;font-size: 12px">金坑水库除险加固工程项目监理部</span>
                    </p>
                    <p style="margin-left:281px;line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">&nbsp;</span></p>
                    <p style="text-indent:300px;line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">监理工程师：</span></p>
                    <p style="margin-top:21px;text-indent:300px;line-height:150%"><span
                            style="font-family: 宋体;line-height: 150%;font-size: 12px">日 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;期： &nbsp;&nbsp;&nbsp;&nbsp;年 &nbsp;&nbsp;&nbsp;月 &nbsp;&nbsp;日</span>
                    </p></td>
            </tr>

            <tr style="height: 100px";>
                <td tdi="tr2-td1" rowspan="2">tr2-td1</td>
                <td tdi="tr2-td2" colspan="2">tr2-td2</td>
            </tr>

            <tr style="height: 100px;">
                <td  tdi="tr3-td1" >tr3-td1</td>
                <td tdi="tr3-td2"  colspan="2">tr3-td2</td>
            </tr>
        </tbody>
    </table>
    <p><span style="font-family: 宋体;font-size: 11px"><span style="font-family:宋体">说明：本表一式</span> &nbsp;<span
            style="font-family:宋体">份，由承包人填写，监理机构审签后，承包人</span><span style="font-family:宋体">___份、监理机构___份、发包人___份、设 代机构___份。</span></span>
    </p>
    <p><br/></p>

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